The patient is 70 kg and the surgeon asks, "How many CCs of marcaine can I give?"  The marcaine is 0.25% and has epinephrine.

At the end of an aorto bifemoral bypass case the patient has 4 twitches with no fade and sustained tetany with tidal volumes of 250 mL, should the patient be reversed?

What are 4 requirements that must be met before a patient can go off pump following bypass?